HomeMy WebLinkAbout18-20245 CITY OF ZEPHYRHILLS
5335-8TH STREET /
(813)780-0020 2024
BUILDING PERMIT
-PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 20245 Address: 37766 ALISSA DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-0170-01300-00130
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 9/19/2018 Name: BOURASSA STEPHAN & RAE ANN
Total Fees: 60.00 Address: PO BOX 136
Amount Paid: 60.00 ZEPHYRHILLS FL 33539-0136
Date Paid: 9/19/2018 Phone: 863-604-9487
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
COOLTECH HEATING AND COOLING INC A/C CHANGEOUT 60.00
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DUCTS INSTALLED
Ins ections a uired
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONT C OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
0.,I11_f?ju_uuZu City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 9 — 49 — Phone Contact for Permitting E:7 a-7 0-3
=Owner's Name ktv� Owner Phone Number
Owner's Addressl J9.55(4 CA Ss-uih 'Ave- 1 Owner Phone Number
Fee Simple'.Titleholder Name Owner Phone Number
Fee Simp][61itleholder Address
JOB ADDRESS sso_ LOT#
SUBDIVIS16N PARCEL ID#1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
e INSTALL L_j REPAIR
PROPOSED USE Q SFR 0 COMM OTHER
TYPE OF CONSTRUCTION - O,s BLOCK Q FRAME STEEL
DESCRIPTION OF WORK -2,
BUILDING SIZE SO FOOTAGE 14EIGHT
- :
i i v i i 2 v i I i N
=BUILDING $
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMPSERVICE Q PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
MECHANICAL $ C)1 VALUATION OF MECHANICAL INSTALLATION L4 C)
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO
BUILDER i COMPANY
SIGNATURE REGISTERED Y/*N FEE CURREN LYLNLj
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN- LILN
_j
Addre ss License# F
PLUMBER, COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License'#'F
ll eeA
CAL MECHANI COMPANY /A
SIGNATURE REGISTERED YJ N FEE CURREN Y/N—
Address 3 C_. �-tk.
License# I CAA 1?1
OTHER. 'COMPANY
SIGNATURE REGISTERED . Y/ N FEE CURREN
Address License# F_
I I H 11,1 fi+
RESIDENTIAL Attach..(2)-PIqt Plans;(2)Sets of Building Plans,,.(1).set of Energy Forms;R-O-W-0ermit"forneW.construction,
Minimum t 6..(l 0)'wdrking days after submittal date. Require.d drIsiti,Constructlon-Plans,Stormwaterftns.wt Sliffence Installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisio'nsfiarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page-,(1)set of Energy Forms.R-O-W Permit for now construction.
'Minimum tan(10)working days after submittal date...Requir6d,onsite,Construction Plans,-ftrmwater Plans w/Slit Fenc
e installed,
SanItary.Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW,construction.
Fill out application completely.
Owner&'Contreictor-signtick of application,notarized
if over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for'the contractor),or Power of Aftomey(for the owner)would be someone with notarized letter from owner authorizing same
OVERTHE COUNTER PERMITTING (copy of contract required)
Retdbfs If-shingles Sewers Service Upgrades A/C Fences(Plot/SuiVey/Footage)
.Driveways-Not over Counter if on public roadv.-Ays..needs ROW,
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County.regulations. The undersigned assumes responsibility for compliance,with:any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a-contractor or
con tractors'to,undertake work; they may,be-requir-ed to be licensed.in accordance with state and aocaC regulations. If the
contractor is not licensed as-required.by law, both the owner and contractor may be cited fora misdemeanor violation
understate law: If the owner-or intended-contractor are.uncertain as-to,.what licensing requirements may apply for-the
intended work, they are advised,to contact the Pasco County Building inspection Division—Licensing Section at 727-847-
8009: Furthermore, if the owner has'blred"b contractor or contractors,. he is advised to have the aoritractor(s)'sign
portions of the "contractor Block":of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting::privileges in Pasco
County:
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: 'The undersigned understands . -
that Transportation Impact Fees and:Recourse.Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings,,as specified in Pasco County Ordinance number 89=07,and
90-07, as amended. The.undersigned also understands, that such fees, as may,be due, will'be identified at the timd of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid.prior to
receiving a "certificate of occupancy" or final power release. if the project does not involve a.certificate of occupancy"or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact.
fees are due, they must-be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN:LAW(Chapter.713, Florida Statutes, as amended): :if valuation of work is$2,500 00 or more, i
certify that 1, the applicant,-have been provided with a copy of-the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", 1 certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"-owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I,certifythat-all-the<information-in this-application is accurate and that all work
will be done in compliance with all applicable.laws regulating;construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. 'I certify that no work or installation has
commenced prior to issuance,.of a permit and that all work will..be.performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may-apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such'agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMfastewater Treatment:
Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks;Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
'US Environmental Protection Agericy-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply.to the use of fill:
Use of fill'is not allowed in Flood Zone"V'unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill materialis,to•be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will-be used only to fill the area within the stem wall.
If till material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties: If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued underahe attached permit application, for lots less than one (1)
acre whichare elevated byfiII,an engineered drainage,plan is required.
If i am the AGENT-FOR THE-OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior.to commencing construction. i understand that a separate permit may be required for electrical work,
plumbing, signs, wells; pools; air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with.the work and not as authority to violate, cancel, alter,-or.
set aside any provisions of the-technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the,work authorized by.such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is;commenced. An extension
may be requested, in writing, from the:Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. 'If Work ceases for ninety(90)'consecutive days,,the job is considered abandoned:
WAR14ING I TO-OWNER: YOUR.FAILURE,TO,RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YQUR.PROP'ERTY. IF YOU INTEND10 OBTAIN FINANCING;CONSULT
WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING`YOUR.NOTICE COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) —
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swo a ed)bppre me this
by by
Who is/are personally known to me or has/have produced Who I are ersonally kno to me or has/have produced
as identification. eL%_��...as identification.
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Notary Public Notary Public
Commission No. Commis 'o No.
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Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped w .,,
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DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT-WORK OR.MODIFICA -!ON OF THE EXISTING
DUCT-SYSTEM
FLORIDA ENERGEY CONSERVATION CODE.(FBC.ENERGY;SECTION 403)TO.BE LEFT ONSI.T.E AND PICKED .:
UR-BYINSPECTOR:.
owner: 6c1� �.�5 a..
Permit.#:
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Site Address: . .. ����. f l:
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Contractor: - ( GIB:. -i A 1G 7
License#:
Final:Inspection Date:-
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certify that f have.installed.new or modified-the' existing ductwork associated,with the HVAC system : :
referenced,by' -the permit listed above and found it complies with.the reauirements,FBC EnergyCode,
Section:403:2..Where modified,the existing ducts have been-sealed using reinforced mastic:or code-: :-
approved equivalent._ Ducts are located within conditioned space(Section 403'.2'.1)Systerh.was tested'
gY ..
as per'FB.CEner code;section 403.2:2.1.All.new duct work,is to comply-with FBC Energy.403.2 and:
FBC Mechanical.chapter 6.
Name of License,Holder(print or type): ignature of License:Holder